This paper suggests a Community Health Initiative for osteoporosis prevention in women sixty-five years and older. To provide a program that will enhance disease management and health care outcomes and will positively impact individual health and quality of life of older adults. Osteoporosis, which means “porous bones,” causes bones to become weak and brittle — so brittle that even mild stresses like bending over, lifting a vacuum cleaner or coughing can cause a fracture (Riggs, & Melton, 1995).
One Health Community initiative which can be implemented is free education seminar or symposium for the related subject which is osteoporosis prevention for the chosen aggregate, women sixty-five years of age and older. Lack of know-how is somewhat ignorance and is a disease and must be stop by properly addressing the issue through commitment and dissemination of information. For implementing an osteoporosis education seminar there are suggested steps: First is to identify the community needs; Second- build partnerships; Third is to plan ahead the education seminar because proper planning makes ones output successful and in order; Fourth of course is to conduct the said seminar and lastly, is to evaluate the education seminar with sample pre- and post-test evaluations. It must be a prevention study component which focused on community-based prevention strategies to enhance adoption of healthful behaviors, with a particular focus on the said aggregate age group. Organize symposium regarding the issue because everyone needs to know the what, how and why regarding osteoporosis; early diagnosis thru medical mission and prompt clinical intervention. It may not involve exactly the experts of that field but even an ordinary person or a student with enough knowledge about it will do and of course one with the heart to implement such a project. The initiator must be armed with sufficient comprehension of facts and data and as a student one may share his knowledge about it. But for a successful program, this should be guided by the community leaders. Ask guidance or support from the teachers or faculty and staff at school in the creation of health related outreach education programs. These people may or will surely equip the promoter of the task ahead. They too can surely help in personally asking the local officials or through proposal letters to support the said initiative. But this one is not that easy, make them understand the purpose and invite them for a little awareness talk regarding osteoporosis that should be hosted by the one initiating it (with faculty support of course) and make sure that their eagerness towards the matter be reached at its higher peak. One way or the other, another initiative, volunteer students can hand out questionnaires on streets of town, example, “are you at risk with osteoporosis?” Several posters, handouts, pamphlets or brochures will serve as media tools to help disseminate health info to target audiences and at the same time comprehend them. The goals of this effort mainly to conduct applied prevention research that will results in careful evaluation, model programs that could be widely disseminated, and if at all possible, institutionalized in a wide range of communities across the areas of interest that includes osteoporosis prevention, education and outreach; methods to enhance physical activity in women; and a survey to determine attitudes of women regarding menopause. At menopause, when estrogen levels drop, bone loss in women increases dramatically which is at most after menopause, very much common in women age sixty-five years and older. Although many factors contribute to bone loss, the leading cause in women is decrease estrogen production during menopause (Neer, Arnaud, Zanchetta, 2000).
Those local officials in turn, if proposal and communiqué receive favorable attention, may build partnerships with community task-forces, example, the health care centers and clinics. The health workers in these fields or even volunteer students can help in special osteoporosis counseling, by planning nutrition and exercise programs for people of this age. Proper building of communication can reached into the community and develops partnerships with the local level that will create many diverse communication opportunities that would better reach women and potential partners in the effort. Once the overall goals of the campaign were in place, these partners organize activities such as screening the elderly or all women to identify their risk for osteoporosis at an early stage because prevention is better than cure (World Health Organization, 1998). This must be an immediate, non-invasive and FREE screening for reading the bone mineral density of the heel and allowed the initiative to expand its objectives to include screenings. The initiative should have two areas of concentration, rural and inner city outreach for underserved women. These may sound unaffordable by students but instigating the move through proposals and proper communication of the person or group in the community will surely lead an advanced way. A SMALL STEP TAKES A BETTER AND GREATER LEAD.
The program exemplifies the community’s commitment to identify and address barriers and information gaps among populations at risk for osteoporosis. According to the National Osteoporosis Foundation, research has shown that prevention and intervention can play an important role in the incidence of osteoporosis (2003). The health worker or the local government must look forward to continuing efforts to educate and bring awareness of osteoporosis throughout the Community. Health awareness should be a habit because living a healthy life thus makes a person osteoporosis and disease free.
National Osteoporosis Foundation. Physician’s guide to prevention and treatment of osteoporosis. (2003).
Neer R.M., Arnaud C.D., Zanchetta J.R., et al. (2000). Effects of parathyroid hormone on fractures and bone mineral density in postmenopausal women with osteoporosis. N England Journal of Medicine, 344:1434, 1-34.
Riggs B.L., & Melton L.J. (3rd ed.). (1995). The worldwide problem of osteoporosis: Insights afforded by epidemiology. Bone. (5 Suppl): 505S-511S.
World Health Organization. Guidelines for Preclinical Evaluation and Clinical Trials in Osteoporosis. (1998).